Monarch Mental Health Association

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MONARCH MENTAL HEALTH ASSOCIATION

Practice address

5393 Roosevelt Blvd Ste 8
Jacksonville, FL 32210-8424

Phone

(480) 737-1240

NPI assigned

Aug 14, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Regina Ewing, PA-CNPI 1437404639

Title

Founder/Ceo

Phone

(480) 737-1240

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina A Ewing, PA-C

  • Psychiatry Physician
  • Madras, OR
  • NPI 1437404639
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1629689435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5393 ROOSEVELT BLVD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108424",
            "telephone_number": "480-737-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5393 ROOSEVELT BLVD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108424",
            "telephone_number": "480-737-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH MENTAL HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-09-04",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "480-737-1240",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437404639",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://caazabdwsv9r6y9biaapp.ecwcloud.com/mobiledoc/jsp/webemr/index.jsp#/mobiledoc/jsp/webemr/p2pa",
            "affiliation": "N",
            "endpointDescription": "P2P",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7380 Townsend Rd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322449080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohammed Noman Mona, M.D.
• Meghan Elisabeth Monaco, PTA
• Monahan Chiropractic PA
• Monica Lynn Monahan, PSY.D.
• Monarch Behavioral Health Services LLC
• Monarch Psychiatry Inc
• Karley Monberg, APRN, FNP-C
• Minetricia Monbrun, B.A.
• Brianna Moncher
• Alison Brooks Mondares, LCSW

• Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.